Organization
AV DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRNA RODRIGUEZ DMD (PRESIDENT)
(407) 273-4100
Entity
Organization
Contact information
Practice address
2506 S SEMORAN BLVD, ORLANDO, FL 32822-2710
(407) 273-4100
(407) 273-4201
Mailing address
2506 S SEMORAN BLVD, ORLANDO, FL 32822-2710
(407) 273-4100
(407) 273-4201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 12611
FL
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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